Clancy Anne, Hovden Julia Thuve, Laholt Hilde
The Arctic University of Norway.
Nurs Ethics. 2025 Jun;32(4):1143-1161. doi: 10.1177/09697330241291161. Epub 2024 Oct 15.
This article presents a descriptive, interpretive theory of ethical responsibility in public health nursing. The theory is based on qualitative empirical studies, a purposeful literature review and meta-ethnography of public health nurses' experiences of ethical responsibility, interpreted within a philosophical framework. Levianasian philosophy provides the main direction for the authors' interpretations. The path for theory development consists of three phases: , ''. The theory illustrates that ethical responsibility in public health nursing is related to the life existentials of temporality and human relationships. Due to blurred boundaries in these essential life structures, public health nurses can experience a sense of satisfaction but also worries, uncertainties and loneliness. The study reveals paradoxical connections between fear and courage, and between freedom, autonomy and a sense of entrapment in responsible relationships. The authors purport that the results of this study are relevant for education and practice and can provide direction for further studies on developing theories of ethical responsibility in other nursing specialities.
本文提出了一种关于公共卫生护理中伦理责任的描述性、解释性理论。该理论基于定性实证研究、有目的的文献综述以及对公共卫生护士伦理责任体验的元民族志研究，并在一个哲学框架内进行解释。列维纳斯哲学为作者的解释提供了主要方向。理论发展路径包括三个阶段：“……”。该理论表明，公共卫生护理中的伦理责任与时间性和人际关系的生命存在性相关。由于这些基本生命结构中的界限模糊，公共卫生护士可能会体验到满足感，但也会有担忧、不确定性和孤独感。该研究揭示了恐惧与勇气之间以及自由、自主性与责任关系中的被困感之间的矛盾联系。作者声称，本研究结果与教育和实践相关，可为其他护理专业伦理责任理论发展的进一步研究提供方向。
